Tripp H F, Selle J G
Carolinas Heart Institute, Carolinas Medical Center, Charlotte, North Carolina 28203, USA.
Ann Thorac Surg. 1996 Nov;62(5):1539-40. doi: 10.1016/0003-4975(96)00758-8.
In complex coronary bypass procedures it is often desirable to target the left circumflex coronary distribution at a site other than the obtuse marginal and terminal branches. Reluctance to bypass into the circumflex artery in the atrioventricular groove is due to difficulty in exposure and possible injury to the coronary sinus. Herein is presented our technique for exposure and anastomosis into the proximal circumflex artery, which avoids these pitfalls. This technique has been consistently simple to perform with excellent results.
在复杂的冠状动脉搭桥手术中，通常希望在除钝缘支和终末支以外的部位靶向左旋支冠状动脉分布区域。不愿在房室沟处将血管搭桥至左旋支动脉是因为暴露困难以及可能损伤冠状窦。本文介绍了我们暴露并吻合至左旋支动脉近端的技术，该技术避免了这些问题。此技术操作一直很简单，效果极佳。
